attending physician and other members of the health care team of inappropriate admissions, denials, end of authorized days.... Indentifies abnormal patterns of utilization and refers to Manager/Director. Recommends changes to system/processes to eliminate...
eligibility of loan co-maker from co-maker’s statement and credit rating. Approve or deny loan applications. All denials go... program. Assist and support Branch Manager with the CPI program. Assist with telephone calls as needed. Provide assistance...
claims in queue that are outstanding in a timely manner. Appeals denials via website portal, telephone, or correspondence... others to problem solve. Performs other duties as assigned by Manager, Assistant Manager or Team Leads. Skill Requirements...
campaign-Sales/Marketing/Bus.Dev. company_name-Lifepoint-Rehabilitation industry-10460 is_manager-Lifepoint..., Clinical Consultants, and Denials Management Department Participate in team meetings along with Medical Director, Program...
claim denials Calling insurance companies Re-filing claims Sending out insurance correspondence i.e. Medical records... Doctor, Billing Manager and Director Answering phones regarding billing questions Assigned daily tasks, i.e. Mail...
. Accurately processes COB claims in Facets, including retractions, denials, repayments and secondary balances. Processes... all departmental reports in an accurate and timely manner and reports findings to the team lead and manager. Participates...
and responds to needs in a timely manner as evidenced by the absence of legitimate customer complaints. New admissions and denials... placed timely into Referral Manager ensuring that dashboards and reports are an accurate reflection of workload and patient...
disputes in Centrix for Debit and Credit cards including credits, denials, and member notifications. Sends disputes to Fiserv... Draft Works in conjunction with the EFT/Card Services Manager on various projects assigned to the Other Responsibilities...
all projects assigned by the Project Manager in adherence with Company guidelines. May assist Project Manager with the weekly... review of time charged to projects and coordinate with the project team to correct issues. May assist Project Manager...
for the care team department based on established guidelines under the direction of the Care Team Manager. The Scheduling... a difference by helping seniors live life on purpose! Responsibilities Under the direction of the Care Team Manager/ALM/BHM...
of coverage. Coordinates and analyzes EOB’s for denials and irregularities, institutes appropriate actions, and reprocesses... according to Department guidelines. Accurately reconciles accounts; adjusts balances to reflect denials, adjustments, payments...
unit for enrollments, denials, terminations, service authorizations and environmental/vehicle modifications. Attend..., Dietitian 2, Habilitation Specialist 2, Infection Control Nurse, Intermediate Care Facility Program Manager 1, Intermediate Care...
with Infusion staff, RN Auditors, Patient Financial Services, and Physician offices to minimize denials and obtain authorizations... and other personnel within the organization. Coordinates needs and updates manager. Provide results of the authorizations...
manner by completing appeals as needed or driving materials and accounts through the Plan Manager to the Payer. ESSENTIAL... and any necessary Payer materials with corroborating contract support for submission to the Manager and ultimately the Payer. Monitor...
Manager. Prepares and distributes resident and community communications such as rule reminders, violation notices, rent.... Reviews and codes invoices and statements for Community Manager approval. Schedules clubhouse rentals and processes rental...
position reports directly to the Manager or Director of Patient Access Services. Key responsibilities of the role include... and customer service issues, and ensuring policies and procedures are being followed. Assists the PAS Manager and/or Director...
of new team members under the direction of the Triage and Referral Nurse Manager Schedules appointments per clinic... referral authorization from insurance carriers for specialty services and relay such authorizations (or denials) to the patient...
routine office work and administrative responsibilities of the resort, working closely with the Resort Manager and other team..., suggestions, and complaints to the Resort Manager. Check guests in and out for their reservations. Perform general...
(i.e., Insurance Denials) Communicates effectively with physicians, physician extenders, physician offices, members of the coding team... and manager. Qualifications: Education/Training High school diploma or equivalent. Computer/typing literacy, knowledge...
of new team members under the direction of the Triage and Referral Nurse Manager Schedules appointments per clinic... referral authorization from insurance carriers for specialty services and relay such authorizations (or denials) to the patient...